Individual
LAUREN BERBERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
247 S ALASKA ST, PALMER, AK 99645-6335
(801) 312-9130
Mailing address
8631 E BLUE MOUNTAIN LN, PALMER, AK 99645-9224
(907) 223-6826
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
136453
AK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136453
LPC
AK
Enumeration date
07/23/2012
Last updated
02/13/2019
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